|
Where do you want to volunteer? |
|
|
Your First Name: |
|
|
Your Last Name: |
|
Date of Birth: |
|
Gender: |
|
Nationality: |
|
|
Email Address: |
|
Postal Address:
(including post/zip code)
|
|
If you are
in employment, please state the organisation and whether you work
part or full time: |
|
REFEREES (two
required) |
| 1.Please give Name, address,
telephone number and how this referee is known to you: |
|
| 2.Please give Name, address,
telephone number and how this referee is known to you: |
|
Level of Education: |
|
Professional
Qualifications/Memberships: |
|
Please indicate
skills and training undertaken relevent to your volunteering interest:
|
|
Do you hold
a current, full driving licence? |
|
Please explain
why you are interested in volunteering and what you think you
could bring to a volunteer post: |
|
Do you have
any unspent convictions under the terms of the Rehabilitation
of Offenders Act 1974?
If yes, briefly explain the nature of the conviction: |
|
Have you ever
been convicted of any offence against children (spent or not)? |
|
Hobbies and
Interests: |
|
Have you visited
or worked in Kenya, or another sub-Saharan African country before? |
|
If 'Yes',
please give brief details: |
|
Please state
the length of time you are willing to volunteer: |
|
| Under the Data Protection
Act 1998, information is obtained and held by Kenyan
Community Initiative Support only as part of the volunteer
recruitment and selection process. It is regarded as strictly confidential
and will be stored securely. It will be passed on to the relevent
organisation in Kenya. |
|
Preferred method of contact: |
|
I confirm
that to the best of my knowledge, the above infomation is correct.
|
Please type your full name in the box above. In
so doing, you argree that this is a legal document. |
Date: |
|
You
will be contacted by your preferred method upon acceptance of
your application. |
|
|
